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Cystic acne

MedGen UID:
507614
Concept ID:
C0010666
Disease or Syndrome
Synonyms: Acne cystica; Cystic acne vulgaris
SNOMED CT: Cystic acne (13277001); Acne cystica (13277001); Cystic acne vulgaris (13277001)
 
HPO: HP:0033188

Definition

A severe type of acne characterized by the formation of cysts enclosing a mixture of keratin and sebum. [from HPO]

Conditions with this feature

Acute febrile neutrophilic dermatosis
MedGen UID:
43097
Concept ID:
C0085077
Disease or Syndrome
Acute febrile neutrophilic dermatosis (AFND) is an autosomal dominant autoinflammatory disorder characterized by onset of recurrent fever and dermatologic abnormalities in childhood. Laboratory studies show elevated acute-phase reactants and activation of the inflammatory response, particularly IL1B (147720). Additional more variable features may include myalgia and arthralgia (summary by Masters et al., 2016).
Pyogenic arthritis-pyoderma gangrenosum-acne syndrome
MedGen UID:
346801
Concept ID:
C1858361
Disease or Syndrome
Pyogenic sterile arthritis, pyoderma gangrenosum, and acne (PAPA) is a rare autosomal dominant autoinflammatory disease that typically presents with recurrent sterile, erosive arthritis in childhood, occurring spontaneously or after minor trauma, occasionally resulting in significant joint destruction. By puberty, joint symptoms tend to subside and cutaneous symptoms predominate, including pathergy, frequently with abscesses at the sites of injections, severe cystic acne, and recurrent nonhealing sterile ulcers, often diagnosed as pyoderma gangrenosum (summary by Demidowich et al., 2012).

Professional guidelines

PubMed

Bu W, Zhang M, Gong X, Ren G, Fang F
Photodiagnosis Photodyn Ther 2020 Sep;31:101944. Epub 2020 Aug 12 doi: 10.1016/j.pdpdt.2020.101944. PMID: 32800966
López-Estebaranz JL, Herranz-Pinto P, Dréno B; el grupo de dermatólogos expertos en acné
Actas Dermosifiliogr 2017 Mar;108(2):120-131. Epub 2016 Nov 3 doi: 10.1016/j.ad.2016.10.001. PMID: 27816123
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383

Recent clinical studies

Etiology

López-Estebaranz JL, Herranz-Pinto P, Dréno B; el grupo de dermatólogos expertos en acné
Actas Dermosifiliogr 2017 Mar;108(2):120-131. Epub 2016 Nov 3 doi: 10.1016/j.ad.2016.10.001. PMID: 27816123
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383
Kashat M, Caretti K, Kado J
Cutis 2014 Jul;94(1):31-2. PMID: 25101341
Stern RS, Rosa F, Baum C
J Am Acad Dermatol 1984 May;10(5 Pt 1):851-4. doi: 10.1016/s0190-9622(84)80142-5. PMID: 6233342
Olsen TG
Med Clin North Am 1982 Jul;66(4):851-71. doi: 10.1016/s0025-7125(16)31398-0. PMID: 6212727

Diagnosis

Esquivel-Zuniga MR, Kirschner CK, McCartney CR, Burt Solorzano CM
Semin Reprod Med 2022 Mar;40(1-02):42-52. Epub 2022 Jan 20 doi: 10.1055/s-0041-1742259. PMID: 35052005
Han XD, Oon HH, Goh CL
J Eur Acad Dermatol Venereol 2016 Oct;30(10):1790-1793. Epub 2016 Jul 12 doi: 10.1111/jdv.13743. PMID: 27400809
Price VH
J Investig Dermatol Symp Proc 2003 Jun;8(1):24-7. doi: 10.1046/j.1523-1747.2003.12168.x. PMID: 12894991
Wilson BB
Prim Care 1989 Sep;16(3):695-712. PMID: 2529576
Lucek RW, Colburn WA
Clin Pharmacokinet 1985 Jan-Feb;10(1):38-62. doi: 10.2165/00003088-198510010-00002. PMID: 3882304

Therapy

López-Estebaranz JL, Herranz-Pinto P, Dréno B; el grupo de dermatólogos expertos en acné
Actas Dermosifiliogr 2017 Mar;108(2):120-131. Epub 2016 Nov 3 doi: 10.1016/j.ad.2016.10.001. PMID: 27816123
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383
On SC, Zeichner J
Dermatol Ther 2013 Sep-Oct;26(5):377-89. doi: 10.1111/dth.12084. PMID: 24099068
Stern RS, Rosa F, Baum C
J Am Acad Dermatol 1984 May;10(5 Pt 1):851-4. doi: 10.1016/s0190-9622(84)80142-5. PMID: 6233342
Olsen TG
Med Clin North Am 1982 Jul;66(4):851-71. doi: 10.1016/s0025-7125(16)31398-0. PMID: 6212727

Prognosis

Patel N, McKenzie SA, Harview CL, Truong AK, Shi VY, Chen L, Grogan TR, Bennett RG, Hsiao JL
J Dermatolog Treat 2021 Jun;32(4):473-475. Epub 2019 Sep 26 doi: 10.1080/09546634.2019.1670779. PMID: 31535587
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383
On SC, Zeichner J
Dermatol Ther 2013 Sep-Oct;26(5):377-89. doi: 10.1111/dth.12084. PMID: 24099068
Wilson BB
Prim Care 1989 Sep;16(3):695-712. PMID: 2529576
Lowe NJ
J Am Acad Dermatol 1986 Oct;15(4 Pt 2):766-72. doi: 10.1016/s0190-9622(86)70232-6. PMID: 2945843

Clinical prediction guides

Bu W, Zhang M, Gong X, Ren G, Fang F
Photodiagnosis Photodyn Ther 2020 Sep;31:101944. Epub 2020 Aug 12 doi: 10.1016/j.pdpdt.2020.101944. PMID: 32800966
Bhattacharjee R, Kumar S, Vinay K, Narang T, Dogra S
Dermatol Ther 2020 Nov;33(6):e13505. Epub 2020 May 25 doi: 10.1111/dth.13505. PMID: 32359190
On SC, Zeichner J
Dermatol Ther 2013 Sep-Oct;26(5):377-89. doi: 10.1111/dth.12084. PMID: 24099068
Lammer EJ, Chen DT, Hoar RM, Agnish ND, Benke PJ, Braun JT, Curry CJ, Fernhoff PM, Grix AW Jr, Lott IT
N Engl J Med 1985 Oct 3;313(14):837-41. doi: 10.1056/NEJM198510033131401. PMID: 3162101
Conner CS
Drug Intell Clin Pharm 1984 Apr;18(4):308-9. doi: 10.1177/106002808401800406. PMID: 6232121

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